Jacqueline L Conner, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Columbus, MT
NPI 1447477997 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1447477997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 781 (MT)
- Practice address
- 525 N. Pratten
Columbus, MT 59019-7148 - Phone
- (406) 322-4789
- Fax
- (406) 322-4789
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 781 | MT | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 781 | MT | Yes |
Addresses
Primary practice location
525 N. Pratten
Columbus, MT 59019-7148
Mailing address
525 N. Pratten
Columbus, MT 59019-7148
Phone (406) 322-4789
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660220 | Other | MT | BCBS |
| 0530725 | Medicaid | MT |
Other providers in Columbus, MT
- Korina Ciuffini
- Columbus Ambulance Service
- Columbus Rural Fire Distric
- Columbus School District
- Compass Mental Health Foundation
- Christine Daly
- Sarah Kathleen Dickey
- Kelcy Ellis
- Martin Paul Feeley
- Marni Kay Ferster
All providers in Columbus, MT · Speech-Language Pathologist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.